A woman in her 60s with connective tissue disease and pulmonary arterial hypertension presented with new-onset ascites. She had jugular venous distension, an accentuated P2 on cardiac exam, ascites on exam, liver ultrasound characterized by irregular echo pattern, ascites protein level of 3.5 g/dL, and a serum-ascites albumin gradient of 1.5. What is the cause of her ascites?
Nogueira and coauthors evaluated plasma aflatoxin-albumin adducts in incident cases with bladder cancer identified through rapid ascertainment in a pilot study conducted from April 2012 through August 2013 at cancer referral hospitals in Chile.
Gutiérrez and coauthors examine whether the association of urinary albumin excretion with coronary heart disease (CHD) events differs by race in a prospective cohort study of 28 207 black and white US adults (aged ≥45 years) enrolled 2003-2007 with follow-up through December 31, 2009. Winkelmayer and Weiner provide comment in the related Editorial.